Mark Thomas Worthington
Gastroenterologist
810 Ainsworth Dr
Prescott
, Arizona 86301-1612
Mark Thomas Worthington
Gastroenterologist
810 Ainsworth Dr
Prescott
, Arizona 86301-1612
(928) 458-2039
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Mark Thomas Worthington
- Po Box 10880
- Prescott, AZ
- Zip : 86304-0880
- Fax : (928) 458-2039
- Phone : (928) 759-5987
Second Address
- Mark Thomas Worthington
- 810 Ainsworth Dr
- Prescott, AZ
- Zip : 86301-1612
- Fax : (928) 771-5549
- Phone : (928) 771-5548
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 43526 | AZ |
| N | 207RG0100X | Gastroenterologist | D40278 | MD |
National Provider Identifier
| NPI | 1003822875 |
|---|---|
| Provider Name | Mark Thomas Worthington |
| First Address | Prescott, AZ 86304-0880 |
| Second Address | Prescott, AZ 86301-1612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 02/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E56823 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.